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General NPI Number Information
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NPI Number | 1023408689
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Entity Type | Organization
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Legal Business Name | OUR NEXT MISSION INC
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 6983 103RD ST STE 4A
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City | JACKSONVILLE
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State | FL
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Zip | 32210-9109
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Country | US
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Telephone | 904-627-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 6983 103RD ST STE 4A
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City | JACKSONVILLE
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State | FL
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Zip | 32210-9109
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Country | US
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Telephone | 904-627-4002
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLYSON SWEDBERGH
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Credential | ED.D.
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Telephone | 904-627-4002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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